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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.?"L-975_0 Alterations
NORTHAMPTON, MASS.
/���y —1917k Additions
' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 54AV-I /f<cG /z�AV , /="�atiEr/C Lot No.
2. Owner's name ,4 Limit-% f/".l 6F 0,V&Ar Address V :l Ny V />'ALL ",9,0 f!-°°t-� „✓✓<C✓�'
3. Builder's name 417 2 dz y 7 Address
Mass.Construction Supervisor's License No. Expiration Date 2/9 2ii
4. Addition
5. Alteration :5-71L., P ANy /y'5/tyot-L64_' A/+ aFV,-/Zee..e O/-, 1"ev "e'• /��5 � 2is�Gf �i='�✓i
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof itSPltr 5fi• ✓�
13. Siding house Al 0,0v
14. Estimated cost:- 4
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
ignaiure of responsible app,icant
Remarks
r
10. Do any signs exist on the property? YES NO 1✓
IF YES,describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES NO
IF YES, describe size, type and location:
11 . ALL INFORMATION MIDST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
Th_ie colama to be £filled in
by the Euildinq Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# _9f -Parking spaces
ffof Loading Docks
Fill:
4vol-lime -& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge .
D7 ATE: ����`GJ APPLICANT's SIGNATURE �� 9
NOTE: loe of a zonin permit does not relieve an a
9 P pp{io Y rden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commiselon, Department of Publio Works and other mppl{oable permit granting authorities.
,,;. FILE ,
•
File No. e
ZOOMING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: zq rz.`2 y
Address: Ili !.f/i4%�v2 5i n-f_' I./�" 5 Telephone: �! ;3
2. Owner of Property: 41-5,CIZ - AAld 0,91WAIZA�� 67 ON066<
Address: SA.t/J <f iL>L RO gZ.) J 't"elephone:
3. Status of Applicant: Owner V--"Contract Purchaser Lessee
Other (explain):
4. Job Location: 'gel 5't/tw`! olzeAf7� OtzOA-'rAle45
Parcel Id: Zoning Map#� Parcel# % _ District(s): C
�O BE FILLED IN BY THE BUILDING DEPARTMEN
S. Existing Use of Structure/Property Sr>�-,✓e�
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
o ILU/rii JZ�tf' f!�✓/J 114,,1 G 7Z' ��iDf i v±'. //V S r— -t / �t.s Cj.fs d,�✓
/h r3AA,41 4.✓V7 5/t�.� ��w,TiJ' + }roe. �1 SPxz~ $/"IA1 a s
7. Attached Plans: Sketch Pian Site Plan _ Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW tf YES_ IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book _ Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW P""' YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , date issued: _
(FORM CONTINUES ON OTHER SIDE)
' n FILE
APPLICANVCONTACTI$�RSON:
ADDRESS/PHONE: ,5
c�
PROPERTY LOCATION: / 4 ' �
MAP PARCET - ZONE
THIS SECTION FOR,OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
7.f1NTNG FORM FITIED OUT
Fee Pnid
lRivilding Permit Filled nut
FPP Pain (j !(JC
n .
Additinn to Existing
Arcessnry Structure
3 Sets of Planc /Plnt Plan
THE LLOWING ACTION HAS BEEN TAKEN ON THIS AF ICATION:
Approved as presented/based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: § _
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received& Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability _Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
Permit from Conservation ComgAffiion
Signature of Building Inspec Date
NOTE:Issumnoa of n zoning permit does not relieve an applioant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission, Department of Publio Works and other applioabie permit granting authorities.
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